Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathryn Poettcker Buswold

Individual provider Registered Nurse · NPI 1417474255

Kathryn Poettcker Buswold is a Nurse Practitioner in Dallas, Texas. Qualified in 2017, 9 years ago. Practices with University of Texas Southwestern Medical Center at Dallas, a 3,149-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
9
Licensed in
TX
In the registry since
2017
Specialties on file
2

Practice location Address checks out

5323 Harry Hines Blvd
Dallas, TX 75390-7201
Phone: (214) 645-5505
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP135398 (TX)
Registered Nurse Taxonomy 163W00000X · Licence 826509 (TX)

Record details

NPI number1417474255
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 23, 2017
Last updated in NPPESAugust 15, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice University Of Texas Southwestern Medical Center At Dallas — 3149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Dallas